Zara–Rapid Fire Fulfillment
Risk Management Analysis
Explain the Joint Commission’s role in the evaluation of an organization’s quality management processes.
The Joint Commission (JC) is a nonprofit organization in the United States of America that accredits healthcare organizations in the country. The organization manages programs for accreditation of healthcare members in a cycle of three years. The commission has certified and accredited more than 22,000 healthcare organizations in the United States (The Joint Commission, n.d). JC addresses performance standards related to hospital operations such as patient care, consumer rights, infection control, and medication safety. All members are required to comply with the JC healthcare standards for them to be eligible for accreditation. The main objective of the commission is to guarantee that medical organizations are capable of delivering quality healthcare services (The Joint Commission, n.d). For instance, the commission subject medical labs to a survey every two years. JC’s performance metrics ensure all healthcare facilities possess the necessary facilities to ensure customer satisfaction.
The commission plays an essential role in the implementation of risk management and quality improvement in healthcare organizations. The commission has affiliates, namely; the Joint Commission Resources and Joint Commission Center for Healthcare Transformation (The Joint Commission, n.d). Joint Commission Resources focuses on providing software, education services, and publications to members. Through surveys, the commission help organizations identify gaps that need interventions. For example, the commission can offer medical employees education programs covering the emerging trends in the medical field. The JC center for healthcare transformation focuses on safety and quality issues in health organizations.
The JC accreditation process helps healthcare organizations identify and manage risks. The standards set by the commission help organizations measure, evaluate, and improve performance. The commission’s principles stress on quality and safety of healthcare where hospitals are required to set reasonable and attainable performance standards. Performance standards are enforced through periodical inspection of hospitals to determine whether quality services are rendered as stipulated by the commission’s regulations (The Joint Commission, n.d).
Describe the roles that different levels of administrative personnel play in healthcare ethics and establishing or sustaining employer/employee-focused organizational risk management strategies and operational policies.
Healthcare organizations work under similar management where staff and all departments work together to achieve the objectives of an organization. Human Resource Management (HRM) plays an essential role in managing employees to ensure they maintain the necessary discipline to develop a positive culture in the organization. HRM plays a vital role in recruiting qualified and competent medical personnel to maintain the appropriate ratio for quick delivery of quality healthcare services (Parand, Dopson, Renz & Vincent, 2014). Besides, HRM integrates all departments and aid in ensuring the workforce participates in quality improvement. Healthcare organizations need strict staff management to ensure medical personnel provides quality services promptly.
As purported by (Parand et al., 2014), Human Resource faces challenges related to inadequate recruitment and training of employees. The challenge is, however, addressed by the finance department led by a Chief Financial Officer (CFO) who provides funds for recruitment, educational programs, and implementation of strategies related to employee management. The efficient management of human resources, funds, and accounting is critical in ensuring hospitals meet their objectives of providing quality healthcare. The Board of Directors (BOD) is required to take risk management initiatives aimed at minimizing risks to healthcare organizations (Parand et al., 2014). Equally, the hospital ownership needs to appreciate the effort of all departments, such as the finance department, that are involved in managing risks in the organization. The hospital ownership and the management provide support and resources aimed at compensating employees through rewards and allowances. Notably, rewarding employee performance ensures that workers are motivated to deliver the desired services.
Illustrate how your organization’s risk management and compliance programs support ethical standards, patient consent, and patient rights and responsibilities.
The risk management framework will support ethical standards in all areas of the hospital. It will ensure the hospital comply with the set standards, such as the criteria for nurse ratio of 1:1 to ensure it has enough staff (Hamilton, 2013). The allocation of duties and responsibilities is conducted by the HR department, which ensures all requirements are met. The HR needs to implement measures that follow ethical standards to ensure employees perform their responsibilities in a conducive work environment. Ensuring the hospital has enough workforce is good news to patients since it guarantees them the right to quality services.
Risk management will focus on the implementation of measures that benefit patients. Hospitals have the responsibility of maintaining work ethics with the assistance of HR to create a working environment that guarantees high employee performance. All employees will be required to adhere to the established standards and procedures when dealing with patients to ensure their rights and consent are safeguarded. Risk management also addresses patient and employee safety standards that should be followed when handling patients. Educational programs ensure employees understand ethical standards, responsibilities, and patients’ rights (Hamilton, 2013). The risk management will also ensure the hospital set terms and conditions as well as ethical code to ensure employees embrace risk mitigation initiatives.
Explain the legal and ethical responsibilities health care professionals face in upholding risk management policies and administering safe health care at your organization.
Healthcare workers are legally liable for ensuring patients receive the right medication to improve their health status. Care professionals, such as nurses, must monitor patient conditions and keeping appropriate medical records that keep track of the progress of individuals under their care (Kadivar et al., 2017). Nurses are required by law to ensure patients are safe. Healthcare organizations are obliged to ensure safety is guaranteed across all departments. Patients in hospitals need to be protected from infections by contagious diseases from other patients. Following ethical standards, medical personnel should perform a close evaluation of all patients for possible infectious diseases. Healthcare workers are required to maintain the confidentiality and privacy of patient information. They should also offer emotional support to affected individuals, offer guidelines on how to control the spread of infectious, or avoid contamination. Employees are required to embrace risk management to ensure they offer quality healthcare, control diseases, and treat all patients equally (Kadivar et al., 2017). Malpractices should be thoroughly investigated, and appropriate action must be taken against personnel who break the rules and regulations governing their practice.
Relate how your organization’s quality improvement processes support and contribute to its overall journey to excellence.
The organization fully supported the implementation of the risk management program. It relies on established policies, operations, and planning to improve patient care. The management plays an important role in creating a positive organizational culture through changes aimed at streamlining operations of the hospital (Cantiello, 2016). Compliance with JC standards, ethical standards, monitoring, and evaluation programs and educational programs ensure the hospital maintains a high level of excellence. The adoption of advanced technology has played an important role in guaranteeing employee safety and enhancing quality care. Technology has enabled the hospital to monitor patients effectively, keep records, track progress, and maintain safety, thus improving the quality of healthcare. The organization culture in the hospital has played an essential role in creating a positive mood and a conducive work environment as well as motivating employees to adopt new changes (Cantiello, 2016). It has helped the organization handle challenges associated with change, such as resistance to change, smooth transition, and adoption of new changes. Training programs have played an essential role in ensuring employees are ready to adopt change aimed at improving patient safety and quality of care. Compliance with all regulations and standards set by JC and other health regulatory bodies ensure quality improvement.
References
Cantiello, J., Kitsantas, P., Moncada, S., & Abdul, S. (2016). The evolution of quality improvement in healthcare: patient-centered care and health information technology applications. J Hosp Admin, 5, 62-8. Retrieved from https://www.researchgate.net/publication/289495732_The_evolution_of_quality_improvement_in_healthcare_patient-centered_care_and_health_information_technology_applications
Hamilton, B. A. (2013). Healthcare Compliance Resource Guide. Washington, DC: American Health Lawyers Association. Retrieved from https://compliance.com/wp-content/uploads/2014/11/dorfschmid_ahlahealthcarecomplianceresourceguide_2013_posted092613.pdf
Kadivar, M., Manookian, A., Asghari, F., Niknafs, N., Okazi, A., & Zarvani, A. (2017). Ethical and legal aspects of patient safety: a clinical case report. Journal of medical ethics and the history of medicine, 10. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150915/
Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: a systematic review. BMJ Open, 4(9), e005055. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158193/
The Joint Commission. (n.d). Inspiring healthcare excellence. The Joint Commission. Retrieved from https://www.jointcommission.org/-/media/tjc/documents/about-us/inspiring_health_care_excellence_brochure.pdf